Individual
BAKTHA KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1702 VAN NESS TER, UNION, NJ 07083-4033
(908) 591-8681
Mailing address
1702 VAN NESS TER, UNION, NJ 07083-4033
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC01333700
NJ
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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